Benjamin L Liberatore, M.D.

Primary specialty

Forensic Psychiatry PhysicianTaxonomy code 2084F0202X

License

MA59596 Issued in NJ

Practice address

301 Spring Garden Rd
HHD
Hammonton, NJ 08037-2516

Phone

(609) 561-1700

Fax

(609) 561-7252

NPI assigned

Oct 31, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124104047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SPRING GARDEN RD",
            "address_2": "ANCORA- HOLLY HALL",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372516",
            "telephone_number": "609-561-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SPRING GARDEN RD",
            "address_2": "HHD",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372516",
            "telephone_number": "609-561-1700",
            "fax_number": "609-561-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERATORE",
        "first_name": "BENJAMIN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "NJ",
            "license": "MA59596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Lawrence, LPN
• Young J. Lee, M.D.
• Thomas Henry Lelache
• Ashlie Ann Lemunyon, CMA
• Thomas William Lepre
• Liberty Dialysis - Hammonton LLC (Liberty Dialysis - Hammonton)
• Ian Christopher Lim
• Ricky Lim, DDS
• Lisa A.NN Lindquist, DO
• Anthony Lionetti, MD

• Forensic Psychiatry Physician in Hammonton, NJ
• Providers in Hammonton, NJ by specialty
• Forensic Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.